Basic Information
Provider Information
NPI: 1023013042
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARROW
FirstName: JAMES
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 N 4TH AVE
Address2:  
City: ELDRIDGE
State: IA
PostalCode: 527481113
CountryCode: US
TelephoneNumber: 5634219880
FaxNumber: 5634219919
Practice Location
Address1: 301 N 4TH AVE
Address2:  
City: ELDRIDGE
State: IA
PostalCode: 527481113
CountryCode: US
TelephoneNumber: 5632857232
FaxNumber: 5632856742
Other Information
ProviderEnumerationDate: 06/16/2005
LastUpdateDate: 08/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X28976IAY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
IA012201 JOHN EEERE HEALTH PLANOTHER
03478901 HEALTH ALLIANCEOTHER
2959401IAWELLMARK BC/BSOTHER
479689001001 DMERCOTHER
607380905IA MEDICAID
2017801 IOWA HEALTH SOLUTIONSOTHER


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